Title Fizioterapija nakon bimaleolarnog prijeloma gležnja uz artroskopiju gležnja
Title (english) Physiotherapy after bimalleolar ankle fracture with ankle arthroscopy
Author Mateo Videc
Mentor Pavao Vlahek (mentor)
Committee member Jasminka Potočnjak (predsjednik povjerenstva)
Committee member Pavao Vlahek (član povjerenstva)
Committee member Vesna Hodić (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Physiotherapy) Koprivnica
Defense date and country 2023-07-10, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Physical Medicine and Rehabilitation
Abstract Ozljede gležnja su najčešće ozljede donjih ekstremiteta koje se najčešće javljaju kod mladih muškaraca i sportaša, dok se kod žena pojavljuje više u starijoj dobi. Bimaleolarni prijelomi čine 20 % maleolarnih prijeloma, a karakterizira ih izrazita bolnost, oteklina i gubitak funkcije zgloba. Kod ovakve ozljede dolazi do prijeloma lateralnog i medijalnog maleola, tj. distalnih dijelova fibule i tibije. Mehanizam nastanka bimaleolarnih prijeloma dijeli se na abdukcijski i adukcijski. Abdukcijski mehanizam nastaje kad se stopalo jakom silom iskrene prema van, dok adukcijski mehanizam nastaje kada se stopalo naglo iskrene prema unutra. Oba mehanizma rezultiraju pucanjem oba maleola i kidanjem ligamenata. Bimaleolarni prijelomi najčešće se liječe artroskopskim zahvatom nakon kojeg fizioterapeuti imaju veliku ulogu u oporavku pacijenta. Fizioterapeut će fizioterapijskom procjenom utvrditi stanje pacijenta i njegove mogućnosti, dok će zajedno definirati ciljeve koji moraju biti realni i izvedivi. U procjeni će se fizioterapeut koristiti SOAP modelom procjene, nakon čega će odrediti plan fizioterapijske intervencije koja će se provoditi i vrijeme trajanja fizioterapije. Tijekom intervencije fizioterapeut će se koristiti raznim fizikalnim procedurama poput TENS-a, ultrazvuka i krioterapije kako bi pacijentu ublažio bol i oteklinu i ubrzao proces oporavka. Uz to koristit će razne manualne tehnike poput mobilizacije mekih tkiva i Maitland koncepta za postizanje elastičnosti tkiva i povećanje opsega pokreta, koje će upotpuniti sa vježbama sa povećanje opsega pokreta i istezanjem, dok će izometričkim i izotoničkim vježbama jačanja nastojati ojačati hipotrofirane mišiće. Provođenjem svega navedenog cilj je povratiti kompletnu funkciju zgloba.
Abstract (english) Ankle injuries are the most common injuries of the lower extremities that occur most often in young men and athletes, while in women they appear more in older age. Bimalleolar fractures account for 20 % of malleolar fractures, and are characterized by severe pain, swelling and loss of joint function. In such an injury, a fracture of the lateral and medial malleolus occurs, or the distal parts of the fibula and tibia. The mechanism of bimalleolar fractures is divided into abduction and adduction. The abduction mechanism occurs when the foot is straightened outward with a strong force, while the adduction mechanism occurs when the foot is suddenly straightened inward. Both mechanisms result in the rupture of both malleolus and tearing of the ligaments. Bimalleolar fractures are most often treated with an arthroscopic procedure, after which physiotherapists play a major role in the patient's recovery. The physiotherapist will determine the patient's condition and his possibilities through a physiotherapy assessment, while together they will define goals that must be realistic and feasible. In the assessment, the physiotherapist will use the SOAP assessment model, after which he will determine the plan of the physiotherapy intervention to be carried out and the duration of the physiotherapy. During the intervention, the physiotherapist will use various physical procedures such as TENS, ultrasound and cryotherapy to relieve the patient's pain and swelling and speed up the recovery process. In addition, he will use various manual techniques such as soft tissue mobilization and the Maitland concept to achieve tissue elasticity and increase the range of motion, which he will complete with exercises to increase the range of motion and stretching, while he will try to strengthen muscles with isometric and isotonic strengthening exercises. By implementing all of the above, the goal is to restore the complete function of the joint.
Keywords
bimaleolarni prijelom
fizioterapeut
procjena
intervencija
Keywords (english)
bimalleolar fracture
physiotherapist
assessment
intervention
Language croatian
URN:NBN urn:nbn:hr:122:730915
Study programme Title: physiotherapy Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) fizioterapije (stručni/a prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2023-08-23 08:40:13